SWISS CTO & CHIP SUMMIT 2024 - Faculty - September 5th & 6th - Basel

Family name*

First name*

E-mail address*

Cell phone number*

Accommodation

Night of September 4th (4th to 5th, day before the congress)
Night of September 5th (5th to 6th)
I don't need accommodation

Single room, breakfast included. The organizing committee covers a maximum of 2 nights. The extra and added night will be charged to you. If you need a double room, please keep us informed in the part below.

Special accommodation requests

Transport

Yes, I would like you to make my travel arrangements
No, I will make my own travel arrangements

Departure City*

Departure date*

Departure time*

Morning
Afternoon
Evening

Return city (if it is not departure city)

Return date*

Return time*

Morning
Afternoon
Evening

Membership card type and number (airline, railroad company...)

Preffered Airline company

Download your passport or ID Card*

Taille max. des fichiers : 128 MB.

Essential to book your travel. Thanks.

Thank you for sending your receipts and your bank details after the congress to :
Com&Co Events
Lucille Sarafian
15 Bd Grawitz - 13016 Marseille
Or by email to : summit-swissctochip@comnco.com
We will proceed to your refund by bank transfer within 4 weeks, on a 200€ basis for Switzerland, 500€ for EMEA and on demand for the rest of the world depending of your departure city. If you use your personal vehicle, the allowances of refund will be calculated on a standard kilometers referral.

Special travel requests

Social Program

FACULTY DINNER : Thursday, September 5th*

Yes, I take part to the faculty dinner
No, I do not take part to the faculty dinner

Personnal Data Policy

Personal Data*

By sending this form, I agree my personal data being processed regarding my logistics arrangements, and the links with service providers that results of it.

Name

Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.